HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numberr�Xv `l1! ;UQ`� 1
'.. , AU G :, 4. 22020
Building Permit Applicati
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,
Planning and Development Services S`a• `--u C-l 'k Z i 1 if FL
Building and Code Regulation Division 'sCommercial R2IC)entlal;��
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: -
PROPOSED IMPROVEMENT:EOCATION ..
t
Address: '7300 MafSh Tarr Pw i Sk WQ e 'F L 3493�
Property Tax ID#: 33a\ _13a`{ _0A91 ^0DU-1 Lot No.
Site Plan Name: /.>3d4AAi L� Alt t1,N Block No.
Project Name:
Di=TAILEQ DESCRIPTION OF WORK 3
r
/i'T14'4s�
)"4 ,P 7-R-i- c,4.9.'zrL ffb& 7Ax
New Electrical Meter Second Electrical Meter
.CQNSTRIJCTION.INFORMATlON „ {
Additional work to be performed under this permit–check all that apply:
iMechanical _Gas Tank Gas Piping _ Shutters _ Windows/Doors Pond
Electric _Plumbing _Sprinklers `Generator Roof Pitch
Total Sq. Ft of Construction: q1?5— Sq. Ft. of First Floor: 11"A95–
Cost of Construction:$ Utilities: —Sewer _Septic Building Height:
QIJVNERf LESSEE rt CQNTRACTC3R >
_ _._. ..
Name r i �� 4' Name: S-Eeye trot G
Address: 13& MCt(SY1 TfX'c Company:SJ�eyf 'Prof*tfCI
City: Pof k' S-�-LQci C'. State:FL Address:,3S3kO SW KCfv\-r'.l dire Av
Zip Code• 349?.6 Fax: City: PCAIDN Ut{ StateFL
Phone No. Zip Code:3 CIV3 _ Fax:T)Q -33 -T(5
E-Mail: Phone No -1-)a -336`3s?()
Fill in fee simple Title Holder on next page{if different E-Mail _f-«nuc( 0 a+},C-olt1
from the Owner listed above) State or County License CCC iiia 69- to
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SURPLEMENTAL CONSTRUCTIQN:' 1'.,,NIAW INFORMATION
:.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO ER:Your failure to Record a Notice of Commencement ma esult in paying twice for
improv ents to �h �foreoth�first
of Cencement a rec rded in the public records of St.
Lucie u nd posted on tinsp ion. If you intend to obtain financing, consult
with er a a Lorne bek or cordin ice o mme ent.
Signatu ?wnree raticuae�,ent for Owner ignature of o or/License Holder
STATE ATE OF LO DA
COUNTY OF MA0: (\ COUNTY 0
Swgfn to(or affirmed)and subscribed before me of Sw9eh to(or affirmed)and subscribed before me of
J Physical Presence or Online Notarization it Physical Presence or Online Notarization
this 11'�-d f R lA 2020 by this4 day of tisk_ 2020 by
Name of Orson making statement. Name of per n makings tement.
Personally Known �/ OR Produced Identification Personally Known 70R Produced Identification
Type of Identification Type of Identification
Produced Produced _
r
(Signature of Notary Public-State of for ��Q�a u o Notary Public-State r'
��� Notary Puhha State i t6trtfa
C Camtela Erantant ni *«
Commission No. i�ggmis n No. rarmel,a
ryPubhcStateoiCie
p� My Common HH Dila$�0 ;� ``§eaFrantanton* Exp+res t>8104n424 �K ommission HH O 8b+a,�,d' re5 6/04no24
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.516/20